A client with diabetes wants to have better control over her blood sugar levels. She has set a goal that she will have laboratory values that reflect this, and she has been monitoring her blood sugar twice a day for the past month
Along with regular checks, she has kept all appointments with her nutritionist. This client is modeling which stage of health behavior change?
1. Termination stage
2. Maintenance stage
3. Contemplation stage
4. Action stage
Correct Answer: 4
Rationale 1: The termination stage occurs when the individual has complete confidence that the problem is no longer a temptation or a threat.
Rationale 2: The maintenance stage is where the person integrates adopted behavior patterns into his or her lifestyle. This stage lasts until the person no longer has temptation to return to previous unhealthy behaviors.
Rationale 3: In the contemplation stage, the person acknowledges having a problem, seriously considers changing a specific behavior, actively gathers information, and verbalizes plans to change the behavior in the near future.
Rationale 4: The action stage occurs when the person actively implements behavioral and cognitive strategies to interrupt previous behavior patterns and adopt new ones. This stage requires the greatest commitment of time and energy and is where the person is actually doing something to change the behavior.
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During her routine annual physical examination, a 48-year-old woman tells the nurse that she worries about her health all the time, spends 8 to 10 hours at the health center every week, and has spent a larger than usual amount of money on cosmetics
over the past 6 months. Select the most appropriate response by the nurse to this client. a. "Your concerns and actions are normal because you are trying to maintain your health and youth." b. "How are you doing at your work? Did you get that promotion you wanted?" c. "Is your husband still helping with the household chores? Support systems are very important." d. "You seem very healthy. You should avoid excessive exercise because it can cause more damage in the long run."
The nurse is caring for an adult client who presents to the emergency department with a report of difficulty breathing and the feeling of an elephant sitting on the chest. Which interventions are an emergent priority? Select all that apply.
a. Obtain vital signs b. Obtain an ECG c. Ask the client to cough d. Auscultate the lungs e. Assess for recent IV drug use
Which interventions in preparing the patient for abdominal surgery may be delegated to unlicensed assistive personnel (UAP)?
a. Vital signs b. Insertion of N/G tube c. Enema d. Height and weight e. Obtaining operative consent f. Sterile gowning
The nurse plans to teach a patient and the caregiver how to manage high blood pressure (BP). Which action should the nurse take first?
a. Give written information about hypertension to the patient and caregiver. b. Have the dietitian meet with the patient and caregiver to discuss a low sodium diet. c. Teach the caregiver how to take the patient's BP using a manual blood pressure cuff. d. Ask the patient and caregiver to select information from a list of high BP teaching topics.